Puncture wound w/o foreign body of right buttock, sequela

This code describes the long-term effects or complications arising from a past puncture wound to the right buttock, where no foreign body was present at the time of the original injury. It signifies that the initial wound has healed, but the patient is now experiencing residual issues directly attributable to that prior trauma.

Use this code when documenting a patient presenting with a current condition (e.g., chronic pain, scar tissue complications, nerve damage) that is a direct consequence of a previously sustained puncture wound to the right buttock. This applies when the original injury is no longer acute, and the current encounter focuses on managing these lasting effects.

• Always sequence this sequela code after the code for the specific manifestation or condition being treated (e.g., chronic pain, scar contracture).
• Ensure documentation clearly links the current condition to the historical puncture wound of the right buttock.
• Do not use this code for the initial treatment of an acute puncture wound; instead, use the acute injury code.